License holder summary

Dr. PENNY MICHELE FORMAN is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. PENNY MICHELE FORMAN is 8630 WINTON RD, CINCINNATI, OH 45231. This doctor license is not current. The license was granted 06/08/1990 and expired on 09/30/1998.

Ohio

State Medical Board of Ohio

Dr. PENNY MICHELE FORMAN
Medical Board - 35.Doctor Of Medicine
License number
35.059975
Date granted
06/08/1990
Date expires
09/30/1998
Class
Medical Board - 35.Doctor Of Medicine
Status
Inactive
Address
8630 WINTON RD, CINCINNATI, OH 45231
doctorsohio.org
ID 28486412
LAST UPDATED 2021-11-01 20:24:06 UTC

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